Table 5: Articles that included technology use in psychiatry with non-Hispanic populations.

First Author, Year
Location
Study Design
Sample Sizes/
Population/Setting
Technology/Intervention Comparators Main Outcomes Intervention v. Comparators Global Quality Rating
Allen, 2005 [30]
USA, CA
RCT
n=430 (I: n=219, C: n=211) Black and Hispanic women; general population near ambulatory care center Telephone. Tailored telephone counseling calls to provide mammogram recommendation information. Phone calls to inquire if participant had screening mammogram since enrollment. Screening mammogram between baseline and 6-month follow-up. Self-report; more screening mammograms, but not significant. Predictors with significance: age, study group, prior mammograms, knowledge of age when women should begin regular mammograms. Moderate
Arora, 2012 [32]
USA, CA
Cohort (Pilot)
n=23 resource-poor pts with diabetes, men and women, Spanish or English speaking; safety net population Cell phone. Daily text messages, unidirectional, English or Spanish. Educational/motivational, medication reminders, healthy living challenges, trivia messages, phone link message to allow participants to call in for free tool for DM management. None Healthy behaviors, DM self-efficacy, medication adherence. All showed improvement. Diabetes knowledge. No change. Satisfaction scores. Favorable. Moderate
Arora, 2014a [31]
USA, CA
RCT
n=328 (I: n=146, C: n=182) low-income English- and Spanish-speaking pts needing follow-up after ED visit Cell phone. Text message appointment reminders, unidirectional, English or Spanish. Usual care: written follow-up appointment reminders. Post ED follow-up visits. Significantly improved. Strong
Arora, 2014c [33]
USA, CA
RCT
n=128 (I: n=64, C: n=64) adult patients with poorly controlled diabetes; men and women, Spanish or English speaking, urban, public ED safety net population ell phone. Daily text messages, unidirectional, English or Spanish. In addition to usual care. Educational/motivational, medication reminders, healthy living challenges, trivia messages. Usual care: not defined. HbA1C, medication adherence. Improvement, but not statistically significant. ED use in follow-up period. Decreased. Self-efficacy, self-care, diabetes knowledge, QOL. Also improved, not significant. ALL improvements. Greater in Spanish-speaking subgroup. Satisfaction scores. Intervention very highly rated. Moderate
Evans, 2012 [41]
USA, VA
RCT (Pilot)
n=123 (breakdowns between I and C groups unavailable) low-income pregnant women, mostly Hispanic; county health department Cell phone. Text messages providing prenatal education/tips + usual care. Usual care: prenatal counseling and care. Agreement with belief in preparation for motherhood. Significantly improved. Moderate
Fischer, 2012 [42]
USA, CO
Cohort (Pilot)
n=47 low-income adult pts with diabetes; English and Spanish speaking; FQHC Cell phone. Text messages, two-way: prompts for blood sugar measurement and appointment reminders; pts respond to both and also receive acknowledgement text. English or Spanish. None Response to text message prompts, including glucose data. High rate of response. Appointment attendance rates. No difference from pre-intervention rates. Weak
Grzywacz, 2013 [44]
USA, NC
Cohort (Pilot)
n=119 Latino construction workers; non-probability sample; age 19+; general population Cell phone IVR. VoiceXML application for participant entry of daily health diary information via keypad. None Adherence to diary keeping. Over one-third adhered; feasibility supported. Weak
Kolodziejczyk, 2013 [45]
USA, CA
Cohort (Pilot)
n=20 adult, overweight or obese, English- or Spanish-speaking; general population Cell phone. Tailored daily text messages (3-5) for 8 weeks + binder w/weekly weight management literature + weekly (10-15 min) counseling calls for encouragement/reinforcement. English or Spanish. None Weight, BMI. Significant decrease. Weight management behaviors. Significant increase. Feasibility and acceptability. Favorable. Weak
Lorig, 2008 [46]
USA, CA
RCT
n=567 (Study (A) I: n=219, C: n=198 (to reinforcement study only: n=34; randomized to reinforcement study: n=116); Study (B) I: n=184, C: n=203 (all previously received SDSMP)) Spanish-speaking adults with type 2 diabetes; re-randomized from first study to second study; community settings STUDY (A) No phone. SDSMP Community-based, peer-led, 6-week program. STUDY (B) Telephone IVR. Monthly reinforcement call: 1) greeting/participant rating of ability to manage DM in next month, 2) choice to listen or not listen to two 90-second vignettes, 3) opportunity to leave message. Staff member response to message, if needed. (A) Usual care: ranging from community clinics to specialist care; (B) No reinforcement call. (A) 6-month: HbA1C, health distress, hypo-/hyper-glycemia, self-efficacy. All significantly improved. (A) 18-month: same as 6-month plus self-reported global health, communication w/physician. All significantly improved. ALSO: physician and ED visits. Decreasing trend. (B) 18 month: Glucose monitoring. Significantly improved. Otherwise, no other significant differences. Moderate
Sieverdes, 2013 [48]
USA, SC
RCT (Pilot)
n=10 (I: n=5, C: n=5) adult Hispanic pts with HTN, men and women 50/50; FQHC Smart phone. SMASH app auto-collect home BP (BID every 3 days) + electronic med tray data (daily). Phone reminder for BP, med tray (or phone if needed) reminder for med. Abnormal data prompted contact from study coordinator or nurse. Written & oral adherence info provided to pts. Text, e'mail, or periodic voice motivational/reinforcement messages. Usual care: not defined. Provider and pt acceptability. High. Program adherence. Good to excellent. Resting BP. Significant improvement. Ambulatory BP. Improvement but not significant. Strong

Abbreviations: RCT=randomized controlled trial, I=intervention, C=comparator, DM=diabetes mellitus, ED=emergency department, HbA1C=hemoglobin A1C, QOL=quality of life, FQHC=Federally qualified health center, IVR=interactive voice response, VoiceXML=voice extensible markup language, BMI=body mass index, SDSMP=Spanish Diabetes Self-Management Program, HTN=hypertension, SMASH= Smartphone Medication Adherence Stops Hypertension, BID=twice daily, med=medication, BP=blood pressure, pts=patients.